Tommy, a 12-year-old boy admitted to the pediatric psychiatric unit, has recently been diagnosed with conduct disorder. In the activity room, the games he wanted to play were already in use. He responded by threatening to throw furniture and to hurt his peers who had the game he wanted. Nancy, a registered nurse, recognizes that Tommy's therapy must include:

Correct Answer: A

Rationale: The correct answer is A: Consistency in implementing the consequences of breaking rules. This is essential in managing conduct disorder as it helps establish clear boundaries and expectations for behavior. By consistently applying consequences when rules are broken, Tommy will learn that his actions have repercussions, promoting accountability and potentially reducing future outbursts. Choice B is incorrect because while empathy is important in understanding Tommy's emotions, it alone is not sufficient to address the underlying behavior. Choice C is incorrect as simply teaching the benefits of socializing does not directly address Tommy's behavior and the root causes of his conduct disorder. Choice D is incorrect as solitary time may not effectively address the need for structure, consequences, and social skill development that Tommy requires in his therapy.

Correct Answer: A

Rationale: The correct answer is A because chronic pain related to a neck injury is a common condition that complementary and alternative medicines often aim to address through symptom management. Researchers studying advances in this area would be interested in patients with chronic pain as they provide an opportunity to explore the effectiveness of alternative treatments. Choice B is incorrect because acute gastrointestinal infections are typically managed through conventional medical interventions, rather than complementary or alternative medicines. Choice C is incorrect as gestational diabetes in pregnant women requires close monitoring and management by medical professionals, making it less likely to be a focus for researchers studying advances in complementary and alternative medicines for symptom management. Choice D is incorrect because surgery for a clubbed foot is a condition that is usually addressed through surgical interventions and physical therapy, rather than complementary or alternative medicines for symptom management.

Correct Answer: D

Rationale: The correct answer is D: hyperactive, hypoactive, and mixed. Hyperactive delirium involves agitation and restlessness, hypoactive delirium is characterized by reduced activity and lethargy, and mixed delirium includes features of both hyperactive and hypoactive states. Choice A is incorrect as depression is not a type of delirium. Choice B is incorrect as confusion is a symptom found in all types of delirium, not a distinct type. Choice C is incorrect as dementia is a separate condition from delirium.

Correct Answer: D

Rationale: The correct answer is D: vocational rehabilitation program. This program would directly benefit Mr. Dilip by providing him with the necessary skills, training, and support to re-enter the workforce as a woodworker. Vocational rehabilitation programs are specifically designed to assist individuals with disabilities or barriers to employment, such as substance use issues, in obtaining and maintaining meaningful employment. These programs offer services like career counseling, job training, job placement assistance, and ongoing support to help individuals like Mr. Dilip successfully reintegrate into the workforce. A: Peer support program - While peer support can be beneficial for individuals in recovery, it may not provide the structured training and skills development needed for Mr. Dilip to re-enter his previous career as a woodworker. B: Entrepreneurship program - While entrepreneurship can be a viable option for some individuals, it may not be the most direct path for Mr. Dilip to rejoin the workforce as a woodworker. C: Mental health integration program - While mental health support

Correct Answer: D

Rationale: The correct answer is D because psychotherapy is a key treatment for personality disorders, including cluster A disorders like schizoid or paranoid personality disorder. While medications may help manage symptoms, they do not treat the core issues. Option A is incorrect because personality disorders are deeply ingrained and not typically cured. Option B is incorrect as DBT primarily targets emotion regulation in borderline personality disorder. Option C is incorrect as medications are not considered primary treatment for personality disorders.